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• • • • • • • 1 e ` 1! <br /> For Lancaster Laboratories use only <br /> -+Lancaster Labw&ries Acct.#: 10�0(-O Sample#:3°MnD7 SCR#: <br /> Wfwe isascierx�e <br /> ` '� q I-7 01 _ m 2 ° Analyses Requested - <br /> Facility#: 9-0557 Job# 386843 Global IN 70607700391 Matrix Preservation Codes Preservative Codes <br /> H=HCI T=Thlosulfate <br /> Site Address: 139 S. . Center St. , Stockton CA N=HNO3 B=NaOH <br /> S=1­12SO4 D=Other <br /> Chevron PM: Bob Cochran Lead Consultant: Secor <br /> 12 <br /> Consultant/Office. G—R Inc 6747 Sierra CT Dublin CA 94568 <br /> a w J value reporting needed <br /> c ❑ <br /> o a ❑Must meet lowest detection limits <br /> IL z $ in possible for 8260 compounds <br /> Consultant Pd. Mgr.: Deanna L. Harding Deanna@grinc.corn �� v ❑ ❑ <br /> Consultant Phone M 925-551-7555 Fax#: 925-551-7899 60 00 8021 MTBE Confirmation <br /> Sam ler. Ton Camarda m ❑ S n ©confirm highest hit by 8260 <br /> p L S <br /> to m ❑ p Confirm all hits by 8260 <br /> Service Order#: ❑Non SAR: 5- � <br /> '0o m © * $ $ v ❑Run_oxy s on highest hit <br /> Date Time 2 o 'o — o ❑Run oxy s on all hits <br /> Sample identification Collected Collected v O m <br /> j QA Comments 1 Remarks <br /> r U 133 x <br /> W 1 0 z K r <br /> LI LII)WoIl IULI ID_ <br /> W off >< <br /> t o -4, 10 sk- <br /> Relln ed by at Time Received by: a Time <br /> Turnaround Time Requested(TAT)(please circle) I�i nt7 <br /> TD.TAT 72 hour 48 hour rnqui by: ate Time i ed Date Time <br /> 24 hour 4 day 5 day DJ i +f - 7 9Dn <br /> Data Package Options(please arde If required) I uish by: L Date Time by Date Time <br /> "+r <br /> QC Summary Type I—Full <br /> Type"(Raw Data) [ICoelt Deliverable not needed Relinquished by Commercial r. r Race Date Time <br /> UPS FedEx Other �j 1 <br /> � WIP(RWQCB) <br /> Disk Temperature Upon Receipt —5 C° Custody Seals Intact? es No <br /> Lancaster Laboratories,Inc.,2425 New Holland Pike,PD Box 12425,Lancaster,PA 17605.2425 (717)656-2300 3460 Rev.7130!01 <br /> Copies:White and yellow should accompany samples to Lancaster Laboratories. The pink copy should be retained by the diene <br />